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Page contents: Guidelines | The Improving Chronic Care (Wagner) Model | Resources & tools
Guidelines
Primary funded organisation requirements (421kb, pdf)
The Improving Chronic Care (Wagner) Model
The Improving Chronic Care (Wagner) Model provides a framework for improvement that identifies the elements of a service system that are essential in responding to the needs of clients with chronic and complex care needs. This site provides information concerning the six elements of the model that encourage high-quality chronic disease management across a variety of chronic illnesses, health care settings, and target populations.
Resources & tools
Synergies between ICDM and HACC Active Service Model
Resource for providers of HACC and Primary Health Service
Case Study 1 - Consumer consultation Inner East PCP (71kb, pdf)
Case Study 2 - Member agency engagement Wimmera PCP (68kb, pdf)
Case study 3 - General practice PCP Partnership in Banyule and Nillumbik (70kb, pdf)
ICDM Fact Sheets
Getting Started on ICDM (88kb, pdf)
Population Health Data Sources for ICDM Planning (267kb, pdf)
General Practice Engagement in ICDM (124kb, pdf)
Consumer Consultation and Participation in CDM (368kb, pdf)
Care Planning with General Practice (83kb, pdf)
Chronic Disease Self-Management (74kb, pdf)
Common Models of Chronic Disease Self-Management Support (84kb, pdf)
Incorporating Self-Management Support into Primary Care (208kb, pdf)
ICDM Monitoring resources
Checklist for Monitoring ICDM Progress (121kb, pdf)
ICDM Tools
Wagner Chronic Care Model Toolkit
This online toolkit provides step-by-step descriptions of the specific changes involved in Chronic Care Model implementation, including more than 60 tools created by leading organisations for quality improvement initiatives, strategies to address financial and operational barriers to quality improvement and stories from organisations that have undertaken successful quality improvements and service system developments to improve chronic care.
Assessment of Chronic Illness Care (ACIC)
A simple, self assessment tool used to assess an organization's current levels of care with respect to the six components of the Chronic Care Model (community resources, health organization, self-management support, delivery system design, decision support, and clinical information systems); developed by Improving Chronic Illness Care (Seattle, Washington, USA)
Better Healthcare in Gippsland Resource Kit
A resource kit developed as part of the Better Healthcare in Gippsland project, a joint Commonwealth/State funded initiative. One focus of this work included the regional implementation of the Wagner Chronic Care Model.
Evidence for an Effective Chronic Disease Collaborative (824kb, pdf)
Integrated Chronic Disease Management - Key Messages (15kb pdf)
Integrated Chronic Disease Management presentation (7,327kb, ppt)
ICDM Status Report 2008-10
Attachments to ICDM status report
Includes a series of templates designed to support agencies and agency staff in the design, development, implementation and monitoring of projects.
Project Progress Report (79kb, MS Word)
Project Report (66kb, MS Word)
Project Short Case Study Template (76kb, MS Word)
